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A Web-Based Self-help Intervention for Coping With the Loss of a Partner: Protocol for Randomized Controlled Trials

Jeannette Brodbeck1,2, Sofia Jacinto1,2,3, Afonso Gouveia4

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This study evaluates a web-based intervention for older adults grieving a partner loss. It compares standardized and self-tailored formats, assessing efficacy for grief, depression, and loneliness.

Keywords:
CBTbereavementcognitive behavioral therapycost-effectivenesselectronic mental healthgrieftechnology acceptance

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Area of Science:

  • Gerontology
  • Digital Health
  • Psychology

Background:

  • Partner loss is a critical life event for older adults, necessitating grief work and future adaptation.
  • Web-based cognitive behavioral self-help interventions effectively reduce grief, depression, and loneliness.
  • Efficacy for recent losses (<6 months) and the impact of content self-tailoring remain understudied.

Purpose of the Study:

  • To evaluate the clinical efficacy and acceptance of a web-based self-help intervention for older adults experiencing partner loss.
  • To compare outcomes, adherence, and working alliance between standardized and self-tailored intervention formats.
  • To investigate the influence of age, time since loss, and baseline grief severity on intervention effectiveness.

Main Methods:

  • Three randomized controlled trials in Switzerland, the Netherlands, and Portugal involving adults aged >60 who lost a partner.
  • Comparison of a waitlist control group with active arms (standardized vs. self-tailored intervention formats).
  • Primary outcome: reduction in grief symptoms; secondary outcomes: reduction in depression and loneliness, measured at baseline, week 10, and week 20.

Main Results:

  • Trials commenced in March 2022, with data collection concluding by December 2022.
  • Initial results were anticipated by January 2023.
  • Focus groups and cost-effectiveness analyses are included in the Dutch and Portuguese trials.

Conclusions:

  • The study will provide insights into the efficacy and acceptance of web-based self-help for recently bereaved older adults.
  • Findings will elucidate the roles of self-tailoring, working alliance, and satisfaction in intervention outcomes.
  • Results aim to inform adaptations for improved acceptance and explore cost-effectiveness for older mourners.